Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marcus Kirk Jackson, LCSW

Individual provider Clinical Social Worker · NPI 1902964240

Marcus Kirk Jackson, LCSW is a Clinical Social Worker in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1635 Central Avenue Southwest Connecticut Mental Health System
Bridgeport, CT 06610
Phone: (203) 551-7660
Fax: (203) 551-7481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 005455 (CT)

Record details

NPI number1902964240
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1635 Central Avenue, Room 213 Attn Sandra Grazynski, Bridgeport, CT 06610

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